Home Health & Hospice Billing Services | Accurate, Compliant, and Compassionate RCM Solutions

Streamline Reimbursements for Home Health & Hospice Care

At Medical RCM, we understand the complexity and compassion required in home-based healthcare. Our Home Health & Hospice Billing Services are designed to help agencies, nurse practitioners, and hospice organizations stay compliant while optimizing cash flow and reimbursement accuracy.

We handle every aspect of Medicare, Medicaid, and commercial insurance billing, so you can focus on what truly matters — providing exceptional care and comfort to patients and their families.

Hospital bed with white pillow and blue blanket, bedside shelf with pink pitcher and containers, dark curtain in the background.

🏠 Comprehensive Home Health & Hospice Billing Solutions

Billing for home health and hospice requires deep expertise in regulatory compliance, plan of care documentation, and episodic payment structures (PPS/PDGM). Medical RCM provides full-service revenue cycle management that ensures accuracy, transparency, and compliance at every step.

Our specialized services include:

Home health and hospice coding and billing
OASIS and plan-of-care review for compliance
Medicare PDGM and hospice per diem billing
Prior authorization and eligibility verification
Claims submission and clearinghouse management
Denial prevention and appeals
Hospice cap management and adjustment tracking
ERA posting, AR follow-up, and patient billing
Monthly reports with KPIs and reimbursement trends

We help agencies stay compliant with CMS regulations while improving cash flow and reducing days in AR.

⚙️ End-to-End Revenue Cycle Management (RCM) for Home Health & Hospice

Our comprehensive RCM process covers every stage of your agency’s billing workflow:

✅ Eligibility Verification: Confirm coverage, pay source, and frequency limitations before admission.
✅ Coding & Documentation Review: Ensure diagnoses and services match payer rules and certification periods.
✅ Claims Submission: Clean, compliant claims for faster reimbursements.
✅ Denial Management & Appeals: Aggressive follow-up and resolution of unpaid claims.
✅ Payment Posting & AR Reconciliation: Real-time transparency in collections.
✅ Financial Reporting: Monthly dashboards and reimbursement analytics.

We keep you audit-ready and compliant with Medicare, Medicaid, and private payer home care billing guidelines.

🏆 Why Home Health & Hospice Providers Trust Medical RCM

Industry-Specific Expertise: Specialists in PDGM, PPS, and hospice per diem billing.
Medicare & Medicaid Compliance: Deep understanding of CMS home health and hospice rules.
Clean Claims Rate Above Industry Average: Faster payments, fewer rejections.
Transparent Communication: Dedicated account manager and live reporting dashboard.
Secure & HIPAA-Compliant: Protecting sensitive patient and family data.
Scalable for Growth: Perfect for single-location or multi-state agencies.

We go beyond billing — we become your partner in sustainable, compliant growth.

💬 Focus on Care — We’ll Handle the Billing

At Medical RCM, our mission is to help home health and hospice providers thrive financially so they can focus fully on patient care.
We bring 15+ years of healthcare billing expertise, precise coding knowledge, and deep compassion for the providers who serve patients in their most critical times.

👉 Contact Us | info@medicalrcm.net

How we can help:

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Comprehensive coding and claim submission
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Insurance verification and prior authorization
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Denial management and appeals
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Contracting and Credentialing
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Patient statements and collections
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We specialize in ensuring your practice receives timely reimbursements while remaining fully compliant with industry standards and payer requirements

✺ Frequently asked questions ✺

We offer full-service medical billing, including coding, claim submission, insurance verification, patient billing, accounts receivable management, and denial management. We also assist with prior authorizations and appeals to ensure timely reimbursement
We have over 20 years of billing in all the specialties we have listed on our site!
Yes! All our billers are experts in the field. With many years of experience and we ensure to only assign the best biller for your specialty. We undergo quarterly trainings and are all certified!
We only use your medical billing software for complete transparency in our performance and to safeguard your practice with ethical and accurate standards.
We provide regular updates through email or phone calls to keep you informed on your billing status. Additionally, we use an online chat system such as Google or Teams for daily needs. We also schedule monthly calls, if needed!
Our onboarding process is simple and efficient. After an initial consultation, we gather necessary documents, set up your accounts in your system and portals. We aim to have everything up and running within 1-2 weeks.
We specialize in personalized service for each client, ensuring that your practice’s unique needs are met. Our team consists of highly trained professionals with expertise in a variety of specialties, and we offer a high level of transparency and communication. We work to maximize your revenue while ensuring accuracy and compliance.

Our team regularly attends continuing education courses, webinars, and conferences. We also have access to coding and regulatory updates from organizations like the American Health Information Management Association (AHIMA) and the American Academy of Professional Coders (AAPC).
We offer a transparent pricing model, with fees based on a percentage of collections. The exact percentage depends on the volume of claims and the complexity of your practice’s billing. We can provide a customized quote based on your needs.
We have a dedicated team that handles claim denials and rejections. When a claim is denied, we review the reason, correct any errors, and resubmit the claim. If necessary, we also handle the appeals process to ensure that your practice receives the reimbursement it's entitled to.
We are fully HIPAA-compliant and follow all federal and state regulations regarding patient data privacy. Our staff undergoes regular training on HIPAA standards, and we use secure systems to manage and transmit patient information.
Yes, we offer coding and billing audits to ensure that all your claims are submitted accurately and in compliance with industry regulations. Our audits help identify any discrepancies or potential risks, so you can address them proactively.
Based on the Tier plan you select, we offer patient support services for billing inquiries, ensuring that patients have a clear understanding of their charges. Our customer service team is available to answer any questions patients may have regarding their statements, insurance coverage, or payment plans.
Yes, we provide regular reports on your practice’s financial performance, including revenue cycles, collections, and any outstanding claims. You will have access to real-time data and in-depth analysis to help you make informed decisions about your practice.